Telemedicine for Acute Stroke Care Review and Recommendations from the German Competence Network Stroke

Audebert, H. J. and Berger, K. and Boy, S. and Einhaeupl, K. M. and Endres, M. and Gahn, G. and Handschu, R. and Kaps, M. and Kuschinsky, W. and Lichy, C. and Roether, J. and Schenkel, J. and Scibor, M. and Schleyer, A. and Siebler, M. and Witte, O. W. and Ziegler, V. and Villringer, A. (2009) Telemedicine for Acute Stroke Care Review and Recommendations from the German Competence Network Stroke. AKTUELLE NEUROLOGIE, 36 (2). pp. 82-90. ISSN 0302-4350, 1438-9428

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Abstract

Telemedicine is increasingly being utilised for the remote evaluation of stroke patients, particularly in neurologically underserved areas. It is usually based on video examination and teleradiological evaluations of brain scans. Scientific analyses have demonstrated the reliability of neurological scores assessed via videoconference. Teleradiology using electronically transmitted original imaging data is potentially equivalent to onsite assessment. Intravenous thrombolysis can be indicated with similar results as in experienced stroke centres if both technological and professional quality standards are applied. However, improved clinical outcomes of stroke patients have only been shown when telemedicine was combined with the Stroke Unit concept based on specialised stroke wards and organised stroke care. More scientific evaluation is needed in the fields of cost effectiveness, quality management and implementation of further technological innovations. There are still insufficient data about the use of telemedicine in prevention, rehabilitation and post-stroke care and a comprehensive scientific evaluation is still needed.

Item Type: Article
Uncontrolled Keywords: ACUTE ISCHEMIC-STROKE; PILOT PROJECT; PLASMINOGEN-ACTIVATOR; REMOTE EVALUATION; POOLED ANALYSIS; RURAL-AREAS; TELESTROKE; SYSTEM; RELIABILITY; THROMBOLYSIS; stroke; telemedicine; stroke unit; quality; thrombolysis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Petra Gürster
Date Deposited: 15 May 2024 08:09
Last Modified: 15 May 2024 08:09
URI: https://pred.uni-regensburg.de/id/eprint/29293

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